| NPI | 1174177497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT LAVERIOUS WILLIAMS Director 909-289-9045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Additional Taxonomies | 364SH0200X Clinical Nurse Specialist, Home Health |
| 225XM0800X Occupational Therapist, Mental Health | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |